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Phase 3 Completed N=185 Treatment

Safety and Tolerability of Conversion From Oral, Injectable, or Infusion Disease Modifying Therapies to Dose-titrated Oral Siponimod (Mayzent) in Advancing RMS Patients

Multiple Sclerosis · Advancing Multiple Sclerosis
Source: ClinicalTrials.gov NCT03623243 ↗
Enrolled (actual)
185
Serious AEs
4.9%
Results posted
Jul 2023
Primary outcomePrimary: Number of Participants With at Least One Treatment-emergent Adverse Event (TEAE) Related to Study Drug During the Treatment Period — 59 Participants
◆ Published Evidence
Emerging
1citation · ~1 / year
Safety and tolerability of conversion to siponimod from other disease-modifying therapies in patients with advancing forms of relapsing MS: Results from the EXCHANGE study.
Multiple sclerosis (Houndmills, Basingstoke, England) · 2025 · Open access · Likely link

Summary

To assess safety and tolerability of patients converting from approved Relapsing Multiple Sclerosis (RMS) Disease Modifying Therapies (DMTs) to siponimod.

Linked Publications

  • Safety and tolerability of conversion to siponimod from other disease-modifying therapies in patients with advancing forms of relapsing MS: Results from the EXCHANGE study.
    Multiple sclerosis (Houndmills, Basingstoke, England) · 2025 · 1 citation · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With at Least One Treatment-emergent Adverse Event (TEAE) Related to Study Drug During the Treatment Period
59
SECONDARY
Number of Participants With at Least One Adverse Event (AE)
138
SECONDARY
Change From Baseline in Treatment Satisfaction Questionnaire for Medication (TSQM-9)
13.5; 15.6; 15.3
SECONDARY
Change in Heart Rate From Baseline to 6 Hours After First Treatment
2.47
SECONDARY
Number of Participants With at Least One Hospitalization During the Treatment
9
SECONDARY
Patient Retention Reported as Number of Participants Who Completed the Study
146

Eligibility Criteria

Key Inclusion Criteria

  • Signed informed consent.
  • Male or female aged 18 to 65 years (inclusive).
  • Patients with advancing RMS as defined by the principal investigator.
  • Prior history of relapsing MS (RMS), with or without progressive features, according to the 2010 Revised McDonald or Lublin criteria (Lublin et al, 2013).
  • EDSS score of >/= 2.0 to 6.5 (inclusive).
  • Having been continuously treated with RMS Disease Modifying Therapies.

Key Exclusion criteria

  • Pregnant or nursing (lactating) women.
  • Patients with any medically unstable condition as determined by the investigator.
  • Certain cardiac risk factors defined in the protocol
  • History of hypersensitivity to the study drug or to drugs of similar chemical classes.

Other protocol-defined inclusion/exclusion criteria may apply.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03623243) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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